Philip John Kallenberg, M.S.

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

University of Kentucky & Affiliates
800 Rose St.
Lexington, KY 40536-0001

Phone

(859) 323-1000

NPI assigned

May 26, 2009

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245110400000",
    "number": "1871728451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 FONTAINE RD APT 345",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405021345",
            "telephone_number": "859-317-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF KENTUCKY & AFFILIATES",
            "address_2": "800 ROSE ST.",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360001",
            "telephone_number": "859-323-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLENBERG",
        "first_name": "PHILIP",
        "middle_name": "JOHN",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-26",
        "last_updated": "2009-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandra Lalita Kakarala
• Jennifer Kaladow, PH.D.
• Evangelia Kalaitzoglou, M.D.
• Kultaj Kaleka, MD
• Anna Gonzaga Kalema, M.D.
• Kallio Audiology & Hearing Care of Lexington Inc
• Karen E Kallio, AUD CCCA
• Jamie A. Kallman, P.A.-C.
• Jeremy Kalma, MD
• Ahmed Dheyaa Kamaluldeen

• Student in an Organized Health Care Education/Training Program in Lexington, KY
• Providers in Lexington, KY by specialty
• Student in an Organized Health Care Education/Training Program in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.